10/21/2022 D7627717

ADVICE OF DEPOSIT - NON-NEGOTIABLE $4,540.80

MARY ROGERS
PO BOX 2121
DULUTH, GA 30096

USMWAH1 310 307 A915629 CPDA-1-

NON-NEGOTIABLE

Employee Emp ID Social Security Status Res-Work Exempt/Allow Number

MARY ROGERS 911590 XXX-XX-XXXX US-S GA-M GA-2/0 D7627717
Code Paygroup Division Department Hire Date Period Start Period End Pay Date
DISH 502 310 307 04/20/20 10/02/22 10/15/22 10/21/22

Taxable Earnings Rate Hrs/Units Current Year To Date Paid Time Off Summary Hours
Regular Wk1 65.5000 38.20 2,502.10 52,544.10 Current Hours Accrued 3.08
Regular Wk2 65.5000 35.64 2,334.42 49,022.82 Current Hours Taken 3.00
Holiday - - - 890.00 Current Bank 41.00
PTO 65.5000 7.00 458.50 937.78
Sales Commissions Wk1 - - 1,153.50 18,808.48
Sales Commissions Wk2 - - 518.65 18,326.47 Paid Protected Time (Calendar YTD) Amount Hours
Overtime Wk1 - - - 927.42 Previous Calendar Year Carryover - -
Overtime Wk2 Retroactive - - - 1,398.67 Current Hours Accrued (Pay Period) - -
PPT - - - 230.56 Current Hours Earned (Cal YTD) 660.00 40.00
- - - 553.00 Current Hours Taken (Cal YTD) 651.75 39.50
Total 6,967.17 143,639.30 Current Bank - 0.50

Taxes
Federal Income Tax 1,315.49 27,625.29 Paid Protected Time is meant to comply with all
Social Security (FICA) 431.96 9,071.16 local and state Paid Sick Leave Policies.
Federal Medicare 101.02 2,121.42
Georgia Income Tax 382.04 8,022.84
Total 2,230.51 46,840.71 Memo Entries Current Year To Date
Profit Share Dollars - 1,186.46
Pre-Tax Deductions Profit Share Stock - 36.69
Medical 60.00 1,379.99 HSA Employer Contr 5.00 50.00
Dental 5.96 137.06 2020 401k Match 2021 - 258.67
Vision 0.45 10.35 401k Match - 553.12
401K 78.30 1,823.70
HSA (Single) 1.20 21.60
Total 145.91 3,372.70 Direct Deposit Accounts Amount
Checking - XXXXXXXXX7567 4,540.80
After-Tax Deductions
Life Insurance 12.77 293.72
Long Term Disability 18.27 420.21 Current Year To Date
Life Insurance - Dependent 0.02 0.47 W2 Gross 6,821.26 143,246.46
Accident 2.94 67.62
Critical Illness 11.08 254.83
Hospital Indemnity 4.87 112.00
Total 49.95 1,148.85

Current Year To Date

Net Pay 4,540.80 95,356.80

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